Individual ProviderJennifer BurkholzFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address900 8th Ave, Fort Worth, TX 76104-3902(817) 735-2549PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Burkholz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1346651999Provider TypeIndividualFull NameBurkholz, JenniferGenderFemaleSole ProprietorNoEnumeration Date5/16/2014Last Updated5/16/2014Contact InformationPractice LocationPractice Address900 8th Ave, Fort Worth, TX 76104-3902Phone(817) 735-2549FaxUnlisted FaxMailing LocationMailing Address900 8th Ave, Fort Worth, TX 76104-3902PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseBP10030789Texas